TANGALA SUE MONTGOMERY (NPI# 1063041663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063041663 |
| Entity Type | Individual |
| Full Name | TANGALA SUE MONTGOMERY |
| Other Name | TANGALA SUE QUILLIN |
| Credential | LPN |
| Practice Address |
19253 Sligo Rd Freeport OH 43973-9660 |
| Practice Telephone | 7402600821 |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 083268 | OH | Nursing Service Providers |
| Street Address |
19253 SLIGO RD |
| City | FREEPORT |
| State | OH |
| Zip Code | 43973-9660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275579484 | Ohio Hills Health Services | Clinic/Center | 110 West Main St, Freeport, OH 43973 | 2006-06-22 |
| 1659475762 | Ohio Hills Health Services | Clinic/Center | 110 West Main St, Freeport, OH 43973 | 2006-09-11 |
| 1134461718 | Erin Kay Lawver | Licensed Practical Nurse | 215 S High St, Freeport, OH 43973-8955 | 2013-03-21 |
| 1467051318 | Tylyn Bova | Nurse Practitioner | 26550 Hoop Rd, Freeport, OH 43973-9013 | 2020-10-21 |
| 1841317872 | Richard B Luyster | Physical Therapist | 77101 Douglas Turn Rd, Freeport, OH 43973-9372 | 2007-03-23 |
| 1225335177 | Antrim Community Volunteer Fire Department | Ambulance | 20217 Cadiz Rd, Freeport, OH 43973-9614 | 2011-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992390 | Stephanie Ostrowski | Physical Therapist | 183 Lower Main St Apt 207, Freeport, ME 04032-1026 | 2020-11-02 |
| 1013517713 | Saad Awan | Pharmacist | 2545 Illinois 26 S, Freeport, IL 61032 | 2020-10-30 |
| 1467051318 | Tylyn Bova | Nurse Practitioner | 26550 Hoop Rd, Freeport, OH 43973-9013 | 2020-10-21 |
| 1710584891 | Alliah Irtan | Social Worker | 20 Randall Ave Apt 3m, Freeport, NY 11520-2756 | 2020-10-02 |
| 1972100105 | Arsenio Moss | Psychologist | 103 Zachary Lane, Freeport, GRAND BAHAMA 00000 | 2020-10-01 |
| 1619583549 | Renee Michelle Farr | Licensed Vocational Nurse | 3900 Loftus Rd, Freeport, MI 49325-9452 | 2020-09-16 |
| 1447865118 | Oakley Courts Assisted Living Community | Assisted Living Facility | 3117 W Kunkle Blvd, Freeport, IL 61032-6943 | 2020-09-10 |
| 1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
| 1205448115 | Charisse Grice | Nurse Practitioner | 123 Dehnhoff Ave, Freeport, NY 11520-2304 | 2020-08-21 |
| 1457963084 | Rachael Boafo | Licensed Practical Nurse | 306 Cherry St, Freeport, MI 49325-9655 | 2020-08-17 |
| Find all providers in FREEPORT | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963084 | Rachael Boafo | Licensed Practical Nurse | 306 Cherry St, Freeport, MI 49325-9655 | 2020-08-17 |
| 1295205086 | Miguelina Magarin | Licensed Practical Nurse | 160 Guy Lombardo Ave Apt 4e, Freeport, NY 11520-4409 | 2018-12-05 |
| 1750875175 | Keisha A Huie | Licensed Practical Nurse | 79 Ray Avenue, Freeport, NY 11520-1481 | 2018-06-19 |
| 1912411133 | Andrea Jackson | Licensed Practical Nurse | 52 Hillside Ave, Freeport, NY 11520-1726 | 2017-11-27 |
| 1386178143 | Evelyn Richardson | Licensed Practical Nurse | 3 Laurel Rd, Freeport, NY 11520-5112 | 2017-04-18 |
| 1932631926 | Maxine Saunders | Licensed Practical Nurse | 16 Beverly Pkwy, Freeport, NY 11520-2002 | 2017-03-30 |
| 1366989717 | Ruth Exhume-mervil | Licensed Practical Nurse | 70 Stevens St, Freeport, NY 11520-1219 | 2017-01-24 |
| 1477097582 | Phana Romulus | Licensed Practical Nurse | 150 N Brookside Ave, Freeport, NY 11520-1931 | 2016-12-08 |
| 1619337615 | Taneisha Dunbar | Licensed Practical Nurse | 97 Dehnhoff Ave, Freeport, NY 11520-2304 | 2016-03-03 |
| 1720450455 | Cassandra Thomas | Licensed Practical Nurse | 152 Westside Ave, Freeport, NY 11520-6025 | 2015-10-21 |
| Find all providers in FREEPORT | ||||
Please comment or provide details below to improve the information on TANGALA SUE MONTGOMERY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.